Individual provider Active NPI

Tonya R Ford, O.D.

  • Optometrist
  • Twin Falls, ID
National Provider Identifier
1558372052
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1874 Issued in GA
Practice address
1411 Falls Ave E
Suite 105
Twin Falls, ID 83301-3455
Phone
(208) 736-2020
Fax
(208) 734-8393
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1874 GA Primary
Optometrist 152W00000X ODP-100216 ID

Addresses

Primary practice location

1411 Falls Ave E
Suite 105
Twin Falls, ID 83301-3455

Mailing address

1411 Falls Ave E
Suite 105
Twin Falls, ID 83301-3455
Phone (208) 736-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200210002053 ID Practitioner - Optometry 0042216806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ford Family Eye Care, P.C.Group PAC ID 6002077559, 3 clinicians

Practice addresses (Care Compare)

2139 Village Park Ave
Suite 100
Twin Falls, ID 83301-4491
Phone (208) 736-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1874GAMDOptometrist
ODP-100216IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ford Family Eye Care, P.C. Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Ford Family Eye Care, P.C. Optometrist PastSince Jan 1, 2005 Accepting new patients
Dr. Daniel D. Gottlieb Optometrist, PC Past Accepting new patients

Locations

2139 Village Park Ave
#100
Twin Falls, ID 83301
Phone (208) 736-2020

1411 Falls Ave E
Ste 105
Twin Falls, ID 83301
Phone (208) 736-2020

Interoperability endpoints

  • Direct secure messaging: tonya.ford@uprisedirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1558372052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E",
            "address_2": "SUITE 105",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-736-2020",
            "fax_number": "208-734-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E",
            "address_2": "SUITE 105",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-736-2020",
            "fax_number": "208-734-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "TONYA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1874",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.